Provider Demographics
NPI:1760856975
Name:ROYAL CROWN HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:ROYAL CROWN HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIYELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-742-6585
Mailing Address - Street 1:10999 RIVERSIDE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2239
Mailing Address - Country:US
Mailing Address - Phone:818-742-6585
Mailing Address - Fax:818-350-4401
Practice Address - Street 1:10999 RIVERSIDE DR STE 104
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91602-2239
Practice Address - Country:US
Practice Address - Phone:818-742-6585
Practice Address - Fax:818-350-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health